| Scranton Primary Health Care Center, Inc | |
|
406 N Washington Ave Scranton PA 18503-1306 | |
| (570) 344-9684 | |
| Not Available |
| Full Name | Scranton Primary Health Care Center, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 406 N Washington Ave, Scranton, Pennsylvania |
| Authorized Official Name and Position | Joseph H Hollander (CEO) |
| Authorized Official Contact | 5703443517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scranton Primary Health Care Center, Inc 959 Wyoming Ave Scranton PA 18509-3023 Ph: (570) 344-3517 | Scranton Primary Health Care Center, Inc 406 N Washington Ave Scranton PA 18503-1306 Ph: (570) 344-9684 |
| NPI Number | 1841709623 |
|---|---|
| Provider Enumeration Date | 09/25/2017 |
| Last Update Date | 10/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841709623 | NPI | - | NPPES |
| 1007288710010 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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